CPR 12 - Heart 4 Flashcards

1
Q

What is a congenital heart defect (CHD)?

A

A problem in the structure of the heart that is present at birth.

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2
Q

What are the most common causes of CHDs?

A
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3
Q

Which CHDs are associated with Down Syndrome?

A
  • AV septal defects (AVSD)
  • Isolated ASD or VSD
  • Tetralogy of Fallot
  • PDA
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4
Q

What are the most frequent types of AVSDs in trisomy 21?

A
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5
Q

What are the most common clinical presentations of CHD?

A
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6
Q

What occurs with right to left shunt CHDs? What complications can they cause? What diseases typically causes these?

A
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7
Q

What occurs with left to right shunt CHDs? What complications do they cause? What diseases cause them?

A
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8
Q

How can neural crest cell migration lead to CHDs? What are the main CHD defects associated with this?

A
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9
Q

What is the tetralogy of fallot?

A

A CHD of unknown cause that presents with four (tetralogy) heart malformations: pulmonary stenosis, overriding aorta, right ventricular hypertrophy, and VSD

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10
Q

How can faulty neural crest cell migration cause a VSD?

A

This also causes an overriding aorta.

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11
Q

How can faulty neural crest cell migration cause a pulmonary stenosis?

A
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12
Q

What causes the right ventricular hypertrophy seen in tetralogy of fallot?

A

Increased work load caused by the pulmonary stenosis

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13
Q

What diseases are often seen with tetralogy of fallot?

A

DiGeorge

Down’s Syndrome

Fetal alcohol syndrome

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14
Q

What is a transposition of the great vessels? What is its cause, prognosis, and what is frequently associated with?

A
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15
Q

What is a persistent trunchus arteriosus? What causes it and what other disorders is it frequently associated with?

A
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16
Q

What is a “Totally Anomalous Pulmonary Venous Return?” What are its symptoms and prognosis? Where does it usually occur?

A
17
Q

What is and what causes ectopia cordis?

A
18
Q

What is and causes pericarditis? What is its signature symptom?

A
19
Q

What is and what causes a pericardial effusion?

A
20
Q

What is and what commonly causes pericardial tamponade? What are its clinical signs and treatment options?

A
21
Q

Describe the venous drainage of the upper limb.

A
22
Q

What is the aortic knob?

A

The aortic knob is a radiographic structure that is formed by the foreshortened aortic arch and a portion of the descending aorta

23
Q
A
24
Q
A
25
Q

In normal subjects, where is the aortic knob located? What could cause it to be in a different location?

A
26
Q
A

Ascending aorta

27
Q
A
28
Q

What structure does the LA lie extremely close to? What are the clinical implications of this?

A
29
Q

Anterior penetrating chest wounds are most likely to damage which cardiac structure?

A

Right ventricle

30
Q

When a transverse CT or MRI of the heart is taken, which direction are you looking from when you look at the radiograph? What does this mean?

A
31
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32
Q
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33
Q
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34
Q
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35
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36
Q
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37
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38
Q
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39
Q
A